Provider Demographics
NPI:1871549329
Name:PEDIATRIC DIAGNOSTIC CARDIAC SERVICES, INC
Entity type:Organization
Organization Name:PEDIATRIC DIAGNOSTIC CARDIAC SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:STEVE
Authorized Official - Middle Name:
Authorized Official - Last Name:OKOLI
Authorized Official - Suffix:
Authorized Official - Credentials:RDCS
Authorized Official - Phone:661-323-2341
Mailing Address - Street 1:2520 H ST
Mailing Address - Street 2:SUITE C
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93301-2800
Mailing Address - Country:US
Mailing Address - Phone:661-323-2341
Mailing Address - Fax:661-323-2344
Practice Address - Street 1:2520 H ST
Practice Address - Street 2:SUITE C
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93301-2800
Practice Address - Country:US
Practice Address - Phone:661-323-2341
Practice Address - Fax:661-323-2344
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085U0001XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic UltrasoundGroup - Single Specialty